Foster Care Licensing Application – Part 1

I/we attest that info given is true and complete. I/We understand that by submitting this form, we will be beginning the application process to become licensed foster parents. Norris staff will be in contact with you to complete your application. In compliance with the requirements of the Children’s Code, Chapter 48, Wisconsin statutes, the undersigned hereby make(s) application for a license to operate a foster home (S. 48.62, Wis. Stats.). I/we consent to the disclosure of child protective service and caregiver background checks as well as arrest and conviction history, criminal and non-criminal background checks of all members of my/our household age 10 and older, by contacting law enforcement agency, any social services agency, or any other public or private agency in any state to determine if there is any reason under s.48.685, Stats., DCF 12, DCF 56 that the applicant(s) may be ineligible to become a foster parent.